I thought only big, bad insurance carriers were liars and thieves. Could it actually be true that an insured was lying?!?! and on a claim?!?! My god, what will happen next? maybe a carrier making a profit, heaven forbid!!!
Subject: Allstate/Pilot Claim Service and State Farm Endanger Public
Posted On: October 19, 2006, 12:07 pm CDT
Posted By: Roger Poe
Comment:
To the NAIC,
In South East Texas Hurricane Rita produced 6+ hours of 90-100+ MPH winds that slammed debris onto asphalt shingles, and ground off the outer asphalt/granule component, even down to the fiberglass mat, yet is damage to shingles that Allstate/Pilot Claim Service and State Farm Insurance pretended, arm-in-arm, is NOT wind damage to shingles.
Allstate/Pilot Claim Service and State Farm Insurance also pretended that the same winds that lifted shingles, breaking their tar tab sealant bonds, leaving them debris shimmed and unable to thermally reseal, is also NOT wind damage to shingles.
(Shifting/dismissing their liabilities and leaving homes and families more vulnernable to further storm damage is simply unbelieveable)
Allstate/Pilot Claim Service also pretend to unsuspecting claimants that the (base) 49% overhead and profit margin for general contractors is NOT owed, even if a general contractor is hired by a claimant.
(Adjusters claim the 29% SUB-contractors OH&P is only owed to a claimants chosen contractor.)
Does the McCarran exemption foster competition, or corruption, pseudo competition, deceptive trade practices and public endangerment charades?
Would you financially support and buy insurance from someone who had no intention of paying you what they truly owed you, or who practiced delivering false damage assessments to loss claimants?
Or would you synthetically/illegally \”estimate\” and \”adjust\” loss claims for them, and help them steal peoples money?
Hell, I wouldn\’t hire a contractor who tried to add 49% overhead and profit to an estimate. Would you… if it was YOUR money? Of course not.
So if 49% overhead and profit is not reasonable, why should an insurance carrier be required to pay it?
49% O&P? Granted, I\’ve never been to the gulf coast – but here in the SE – O&P is 10 and 10 (20%). 49% seems excessive to me. Can\’t blame them for not paying that either.
No (for profit) business survives without making sound, reasonable/fair, and rational, profits.
The 49% (mark-up/profit) factor, supposedly, accounts for 29% subcontractor O&P costs & 20% Primary/General contractor O&P costs.
A historical construction business investment markup and profit factor, for [sub&primary] contractors with viable business models, is somewhere around the 59% mark according to business experts like Michale Stone, author of \”Mark-Up and Profit\”. Other experts agree.
Insurers construction estimating cost data can help anticipate (actuarially/statiscally) dollar amounts, [premiums], that reflect a residential or commercial structures\’ estimated replacement costs (in a given area).
Appropriate premiums that account for (59%ish)subtrade business mark-up and profit AND (59%ish) general/primary contractor business mark-up and profit would not be innappropriate premium values, would they?
Partial or Full structral loss claim values should reflect realistic/actual pre-anticipated construction component/s loss value already pre-paid for by the general public, no?
Since a home/business owner (policy holder) prepays dollar values for the anticipated primary-general contractor who can replace the property AND subsequent subtrade contractors, a SINGLE construction trade component loss(i.e.,framing, roofing, carpeting, painting, drywall, plumbing, etc.) via wind, hail, debris, etc. type damage, intrinsically contains primary/general contractor AND subtrade contractor [construction business costs] values in it.
HOW some so-called loss claim \”adjusters\” improperly assess damage and improperly estimate downward/omit the ACTUAL and FULL dollar loss value of a covered structures\’ physical component/s loss VALUES can create \”contingent\” illicit/illegal profits* for insurers, no?
P.S. Allstate even claims to their clients that damage to their structure has to have multiple trades involvement to repair a structure before a primary-general contractor is \”necessary\”.
This appears to be a huge and stealth-like financial sham on the general public, and a extremely unfair market manipulation move to try to force general contactors out of the single construction component loss claim repair/replacement market.
Charge premiums for anticipated primary-general contractor involvement, then tell a home/business owner they don\’t deserve one when one or two trades are needed for repairs/restoration, is an illegal financial indemnification \”bait and switch\” game, no?
What business does a GC have in a claim involving one or two trades? None, if the homeowner can\’t figure out which trade should come first on a two person trade then they can pay the GC out of pocket. The main reason a GC is required is to handle larger losses more efficiently and to make sure the repairs are done in the proper manner. Most GC actually do no work on the structure themselves.
All estimating systems I\’ve been a part of have built in labor components along with base service charges. Now, if the repairs are such, then some base service charges can and should be turned off. All labor components have tear down/set up time along with routine breaks. They also figure in material wastage and supplies. None of these are controlled by the insurance companies. The insurance companies don\’t want any control over these items. They just want a fair and accurate estimating product for the respective territories to settle claims in an appropriate manner. Now, like in most areas, every proffession has their bad apples and insurance adjusters are just another category.
D–What business does a GC have in a claim involving one or two trades? None, if the homeowner can\’t figure out which trade should come first on a two person trade then they can pay the GC out of pocket.
R– Actually David, what is wrong with a GC being hired by their local fair game market? Nothing.
D–The main reason a GC is required is to handle larger losses more efficiently and to make sure the repairs are done in the proper manner. Most GC actually do no work on the structure themselves.
R–Actually David, GC are \”required\” when they are hired, in a fair game market involving single or multi-trade work. And working on the structure is only a fraction of a whole projects\’ work scope.
D–All estimating systems I\’ve been a part of have built in labor components along with base service charges.
R–Remember that the various trades labor cost components you use DO NOT include primary/general contractor mark-up.
D–Now, if the repairs are such, then some base service charges can and should be turned off. All labor components have tear down/set up time along with routine breaks.
R–True.
D–They also figure in material wastage and supplies. None of these are controlled by the insurance companies.
R–General [cut-waste] LABOR and actual subsequent contractor business overhead and profit costs are synthetically \”estimated\” / controlled, by Allstate, via their special version of MSB IntegriClaim, and cooperation by Pilot Claim Service.
Allstate and State Farm faking out hurricane Rita victims by the thousands in South East Texas, per their \’wind broken tar sealant bonds is not reaalllly shingle damage\’ untruth has left untold numbers of homes and people vulnerable to further daily and catastrophic eco-damage.
This one untruth alone has shifted their liability onto their clients backs/wallets via the TWIA and, potentially, Texas citizens.
D–The insurance companies don\’t want any control over these items. They just want a fair and accurate estimating product for the respective territories to settle claims in an appropriate manner.
R–Right…Review my previous comment.
D–Now, like in most areas, every proffession has their bad apples and insurance adjusters are just another category.
R–True. However, I still meet adjusters with moral integrity.
D–What business does a GC have in a claim involving one or two trades? None, if the homeowner can\’t figure out which trade should come first on a two person trade then they can pay the GC out of pocket.
R– Actually David, what is wrong with a GC being hired by their local fair game market? Nothing.
D–The main reason a GC is required is to handle larger losses more efficiently and to make sure the repairs are done in the proper manner. Most GC actually do no work on the structure themselves.
R–Actually David, GC\’s are \”required\” when they answer a customers call, and are hired, in a fair game market involving single or multi-trade work. And physically working on the structure is only a fraction of a whole projects\’ work scope logistics, and investment risk.
D–All estimating systems I\’ve been a part of have built in labor components along with base service charges.
R–Remember that the various trades labor cost components you use DO NOT include primary/general contractor mark-up.
D–Now, if the repairs are such, then some base service charges can and should be turned off. All labor components have tear down/set up time along with routine breaks.
R–True.
D–They also figure in material wastage and supplies. None of these are controlled by the insurance companies.
R–General [cut-waste] LABOR and actual subsequent contractor business overhead and profit costs are synthetically \”estimated\” / controlled, by Allstate, via their special version of MSB IntegriClaim, and cooperation by Pilot Claim Service.
Allstate and State Farm faking out hurricane Rita victims by the thousands in South East Texas, per their \’wind broken tar sealant bonds is not reaalllly shingle damage\’, or, \’the outer protective granular component may be ground off via Rita wind borne debris, but the roof is still shedding water\’ untrue mumbo-jumbo double-speak has left untold numbers of homes and people vulnerable to further daily and catastrophic eco-damage.
Those untruths alone has shifted their liability onto their clients backs/wallets via the TWIA and, potentially, Texas citizens.
D–The insurance companies don\’t want any control over these items. They just want a fair and accurate estimating product for the respective territories to settle claims in an appropriate manner.
R–Right…Review my previous comment.
D–Now, like in most areas, every proffession has their bad apples and insurance adjusters are just another category.
R–True. However, I still meet adjusters with moral integrity.
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I thought only big, bad insurance carriers were liars and thieves. Could it actually be true that an insured was lying?!?! and on a claim?!?! My god, what will happen next? maybe a carrier making a profit, heaven forbid!!!
Subject: Allstate/Pilot Claim Service and State Farm Endanger Public
Posted On: October 19, 2006, 12:07 pm CDT
Posted By: Roger Poe
Comment:
To the NAIC,
In South East Texas Hurricane Rita produced 6+ hours of 90-100+ MPH winds that slammed debris onto asphalt shingles, and ground off the outer asphalt/granule component, even down to the fiberglass mat, yet is damage to shingles that Allstate/Pilot Claim Service and State Farm Insurance pretended, arm-in-arm, is NOT wind damage to shingles.
Allstate/Pilot Claim Service and State Farm Insurance also pretended that the same winds that lifted shingles, breaking their tar tab sealant bonds, leaving them debris shimmed and unable to thermally reseal, is also NOT wind damage to shingles.
(Shifting/dismissing their liabilities and leaving homes and families more vulnernable to further storm damage is simply unbelieveable)
Allstate/Pilot Claim Service also pretend to unsuspecting claimants that the (base) 49% overhead and profit margin for general contractors is NOT owed, even if a general contractor is hired by a claimant.
(Adjusters claim the 29% SUB-contractors OH&P is only owed to a claimants chosen contractor.)
Does the McCarran exemption foster competition, or corruption, pseudo competition, deceptive trade practices and public endangerment charades?
rogerpoegc@yahoo.com
Wes,
Would you financially support and buy insurance from someone who had no intention of paying you what they truly owed you, or who practiced delivering false damage assessments to loss claimants?
Or would you synthetically/illegally \”estimate\” and \”adjust\” loss claims for them, and help them steal peoples money?
rogerpoegc@yahoo.com
Hell, I wouldn\’t hire a contractor who tried to add 49% overhead and profit to an estimate. Would you… if it was YOUR money? Of course not.
So if 49% overhead and profit is not reasonable, why should an insurance carrier be required to pay it?
49% O&P? Granted, I\’ve never been to the gulf coast – but here in the SE – O&P is 10 and 10 (20%). 49% seems excessive to me. Can\’t blame them for not paying that either.
No (for profit) business survives without making sound, reasonable/fair, and rational, profits.
The 49% (mark-up/profit) factor, supposedly, accounts for 29% subcontractor O&P costs & 20% Primary/General contractor O&P costs.
A historical construction business investment markup and profit factor, for [sub&primary] contractors with viable business models, is somewhere around the 59% mark according to business experts like Michale Stone, author of \”Mark-Up and Profit\”. Other experts agree.
Insurers construction estimating cost data can help anticipate (actuarially/statiscally) dollar amounts, [premiums], that reflect a residential or commercial structures\’ estimated replacement costs (in a given area).
Appropriate premiums that account for (59%ish)subtrade business mark-up and profit AND (59%ish) general/primary contractor business mark-up and profit would not be innappropriate premium values, would they?
Partial or Full structral loss claim values should reflect realistic/actual pre-anticipated construction component/s loss value already pre-paid for by the general public, no?
Since a home/business owner (policy holder) prepays dollar values for the anticipated primary-general contractor who can replace the property AND subsequent subtrade contractors, a SINGLE construction trade component loss(i.e.,framing, roofing, carpeting, painting, drywall, plumbing, etc.) via wind, hail, debris, etc. type damage, intrinsically contains primary/general contractor AND subtrade contractor [construction business costs] values in it.
HOW some so-called loss claim \”adjusters\” improperly assess damage and improperly estimate downward/omit the ACTUAL and FULL dollar loss value of a covered structures\’ physical component/s loss VALUES can create \”contingent\” illicit/illegal profits* for insurers, no?
*Texas Department of Insurance Bulletin B0045-98.
rogerpoegc@yahoo.com
P.S. Allstate even claims to their clients that damage to their structure has to have multiple trades involvement to repair a structure before a primary-general contractor is \”necessary\”.
This appears to be a huge and stealth-like financial sham on the general public, and a extremely unfair market manipulation move to try to force general contactors out of the single construction component loss claim repair/replacement market.
Charge premiums for anticipated primary-general contractor involvement, then tell a home/business owner they don\’t deserve one when one or two trades are needed for repairs/restoration, is an illegal financial indemnification \”bait and switch\” game, no?
What business does a GC have in a claim involving one or two trades? None, if the homeowner can\’t figure out which trade should come first on a two person trade then they can pay the GC out of pocket. The main reason a GC is required is to handle larger losses more efficiently and to make sure the repairs are done in the proper manner. Most GC actually do no work on the structure themselves.
All estimating systems I\’ve been a part of have built in labor components along with base service charges. Now, if the repairs are such, then some base service charges can and should be turned off. All labor components have tear down/set up time along with routine breaks. They also figure in material wastage and supplies. None of these are controlled by the insurance companies. The insurance companies don\’t want any control over these items. They just want a fair and accurate estimating product for the respective territories to settle claims in an appropriate manner. Now, like in most areas, every proffession has their bad apples and insurance adjusters are just another category.
D–What business does a GC have in a claim involving one or two trades? None, if the homeowner can\’t figure out which trade should come first on a two person trade then they can pay the GC out of pocket.
R– Actually David, what is wrong with a GC being hired by their local fair game market? Nothing.
D–The main reason a GC is required is to handle larger losses more efficiently and to make sure the repairs are done in the proper manner. Most GC actually do no work on the structure themselves.
R–Actually David, GC are \”required\” when they are hired, in a fair game market involving single or multi-trade work. And working on the structure is only a fraction of a whole projects\’ work scope.
D–All estimating systems I\’ve been a part of have built in labor components along with base service charges.
R–Remember that the various trades labor cost components you use DO NOT include primary/general contractor mark-up.
D–Now, if the repairs are such, then some base service charges can and should be turned off. All labor components have tear down/set up time along with routine breaks.
R–True.
D–They also figure in material wastage and supplies. None of these are controlled by the insurance companies.
R–General [cut-waste] LABOR and actual subsequent contractor business overhead and profit costs are synthetically \”estimated\” / controlled, by Allstate, via their special version of MSB IntegriClaim, and cooperation by Pilot Claim Service.
Allstate and State Farm faking out hurricane Rita victims by the thousands in South East Texas, per their \’wind broken tar sealant bonds is not reaalllly shingle damage\’ untruth has left untold numbers of homes and people vulnerable to further daily and catastrophic eco-damage.
This one untruth alone has shifted their liability onto their clients backs/wallets via the TWIA and, potentially, Texas citizens.
D–The insurance companies don\’t want any control over these items. They just want a fair and accurate estimating product for the respective territories to settle claims in an appropriate manner.
R–Right…Review my previous comment.
D–Now, like in most areas, every proffession has their bad apples and insurance adjusters are just another category.
R–True. However, I still meet adjusters with moral integrity.
D–What business does a GC have in a claim involving one or two trades? None, if the homeowner can\’t figure out which trade should come first on a two person trade then they can pay the GC out of pocket.
R– Actually David, what is wrong with a GC being hired by their local fair game market? Nothing.
D–The main reason a GC is required is to handle larger losses more efficiently and to make sure the repairs are done in the proper manner. Most GC actually do no work on the structure themselves.
R–Actually David, GC\’s are \”required\” when they answer a customers call, and are hired, in a fair game market involving single or multi-trade work. And physically working on the structure is only a fraction of a whole projects\’ work scope logistics, and investment risk.
D–All estimating systems I\’ve been a part of have built in labor components along with base service charges.
R–Remember that the various trades labor cost components you use DO NOT include primary/general contractor mark-up.
D–Now, if the repairs are such, then some base service charges can and should be turned off. All labor components have tear down/set up time along with routine breaks.
R–True.
D–They also figure in material wastage and supplies. None of these are controlled by the insurance companies.
R–General [cut-waste] LABOR and actual subsequent contractor business overhead and profit costs are synthetically \”estimated\” / controlled, by Allstate, via their special version of MSB IntegriClaim, and cooperation by Pilot Claim Service.
Allstate and State Farm faking out hurricane Rita victims by the thousands in South East Texas, per their \’wind broken tar sealant bonds is not reaalllly shingle damage\’, or, \’the outer protective granular component may be ground off via Rita wind borne debris, but the roof is still shedding water\’ untrue mumbo-jumbo double-speak has left untold numbers of homes and people vulnerable to further daily and catastrophic eco-damage.
Those untruths alone has shifted their liability onto their clients backs/wallets via the TWIA and, potentially, Texas citizens.
D–The insurance companies don\’t want any control over these items. They just want a fair and accurate estimating product for the respective territories to settle claims in an appropriate manner.
R–Right…Review my previous comment.
D–Now, like in most areas, every proffession has their bad apples and insurance adjusters are just another category.
R–True. However, I still meet adjusters with moral integrity.
rogerpoegc@yahoo.com